Cahokia Key Club
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Service Hour Form
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Download and Print this form if you prefer to turn in a paper copy!!!
File Size:
131 kb
File Type:
pdf
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Report Service Hours
(remember service doesn't count if it is for FAMILY)
Name
*
First
Last
Email
*
Verifying Adult Contact Number
*
In-School
Out-of-School
Please designate the type of service provided. If it is service provided at Church, Home, etc. (Personal Service Hours) please provide Contact Information for an Adult individual in the description of project box.
Name of Project
*
example: Babysitting
Date of Service
*
Description of project
*
How many service hours did you perform?
*
.5 hr
1 hr
1.5 hrs
2 hrs
2.5 hrs
3 hrs
3.5 hrs
4 hrs
4.5 hrs
5 hrs
6 hrs
7 hrs
8 hrs
9 hrs
10 hrs
Verifying Adult
*
First
Last
Verifying Adult Contact Number
*
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